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KMC HOSPITAL SUCCESSFULLY TREATS DENTOFACIAL DEFORMITY WITH #TMJ REPLACEMENT S#URGERY, FIRST OF ITS KIND IN #INDIA

Mangalore, 13 May2022: KMC Hospital, Mangalore, has successfully performed a #dentofacial deformity procedurecorrection caused by TMJ #Ankylosis via Total temporo mandibular joint replacementon a10-year-old patient.Master Philip (name changed) had a previous history of multiple surgeries following diagnosis of ankylosis with various modalities. For the child, the medical condition had started 10 days postnatalin the form of a parotid abscess and had progressed to the current condition of ankylosis.
The full spectrum of treatmentby way of multiple surgeries involved the use of ribs to promote growth in the lower jaw, creating a gap after the removal of bone at the level of joint and interposing muscle to prevent refusion. In addition to the above maneuvres, the child was also subjected to the principles of bone lengthening using distraction osteogenesis, which stems from the principles of orthopaedics by Ilizarov.
Speaking about the case, Dr Abhay Kamath, Consultant Oral & Maxillofacial Surgery, KMC Hospital, Mangalore, said, “The child was diagnosed with MRSA ((Methicilin-ResistantStaphylococcus Aureus)) during the previous surgeries. It was more essential to treat MRSA and plan the surgery, which was areal challenge. After a thorough investigation, the parents were counselled regarding the role and use of Alloplastic Joint Replacement, as the child had exhausted all other treatment modalities.The joints were shipped from Atlanta, Jacksonville, USA, customized for the child, which is referred to as Patient-Specific TMJ Implants.”
“After a thorough preoperative work-up with necessary precaution, which involved expert advice from teams of doctors, the child was subjected to the surgery under general aneasthesia. Post operatively, we were able to achieve a mouth opening of 25mm, compared to the Ni.